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Ectopic Pregnancy
Ectopic Pregnancy
Risk
High Risk
Tubal corrective surgery
Tubal sterilization
Previous EP
In utero DES exposure
IUD
Documented tubal pathology
Moderate Risk
Infertility
Previous genital infection
Multiple partners
Slight risk
Previous pelvic or abdominal surgery
Smoking
Douching
Intercourse before 18 weeks
Ectopic Pregnancy
21.0
9.3
8.3
5.6
4.2-45
3.8-21
2.5-21
2.5-3.7
2.1
0.93-3.8
2.3-2.5
1.1-3.1
1.6
2.
3.
Ectopic Pregnancy
5.
6.
Ectopic Pregnancy
History
Classic triad of symptoms
History
Passage of decidual
cast
Occurs in 5%-10% of
women
Decidual cast
Physical Examination
Measurement of
vital signs
Physical Examination
Culdocentesis
Ectopic Pregnancy
Laboratory tests
Hemogram
Ectopic Pregnancy
Laboratory tests
hCG
assays
Laboratory tests
Serum
progesterone levels
Ultrasound imaging
Abdominal
sonography
Ultrasound imaging
Vaginal
sonography
Ectopic Pregnancy
Surgical diagnosis
Laparoscopy
Laparotomy
Ectopic Pregnancy
Histologic characteristics
Evidence
Arias-Stella
reaction
Ectopic Pregnancy
Definition
Tubal pregnancy
Interstitial pregnancy
Abdominal
pregnancy
Cervical pregnancy
Ligamentous
pregnancy
Heterotopic
pregnancy
Ovarian pregnancy
Ectopic Pregnancy
Tubal Pregnancy
Tubal Pregnancy
Treatment
Anti-D immunoglobulin
Ectopic Pregnancy
Tubal Pregnancy
Treatment
Surgical Management
Ectopic Pregnancy
Tubal Pregnancy
Salpingostomy
Ectopic Pregnancy
Tubal Pregnancy
Salpingotomy
Ectopic Pregnancy
Tubal Pregnancy
Salpingectomy
Ectopic Pregnancy
Tubal Pregnancy
Ectopic Pregnancy
Tubal Pregnancy
Medical Management
Systemic MTX
Ectopic Pregnancy
Cervical Pregnancy
Cervical Pregnancy
Diagnostic Criteria
1.
2.
3.
4.
Cervical Pregnancy
Ectopic Pregnancy
Ovarian Pregnancy
Criteria for diagnosis (Spiegelbergs Criteria)
1.
2.
3.
4.
Ovarian Pregnancy
Ectopic Pregnancy
Abdominal pregnancy
Abdominal pregnancy
Clinical presentation
In advanced pregnancy:
Abdominal pregnancy
Criteria for diagnosis Studdifords Criteria
1.
2.
3.
Ectopic Pregnancy
Abdominal pregnancy
Surgical intervention
Interstitial pregnancy
Interligamentous pregnancy
Heterotopic pregnancy
Treatment is operative
Ectopic Pregnancy
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Ectopic Pregnancy